中美空军飞行学员医学选拔对照实证研究--先天性心脏病.pdfVIP

空军医学杂志 2016年4月 第32卷 第2期 Medical Journal of Air Force ，Vol.32 ，No.2 ，June ，2016 77 · · 中美空军飞行学员医学选拔对照实证研究 ——先天性心脏病 朱　迪，邹志康，黄丛春，张海涛，肖晓光，王建昌，马中立 [摘要] 目的　分析我军招飞医学选拔时因先天性心脏病（先心病）而淘汰的学员参照美军招飞标准判定情况，为 我军招收飞行学员体检标准中先心病的相关内容修改提出合理建议。方法　对2012—2015年参加招飞医学选拔定选 的学员进行心脏听诊，存在杂音的行超声心动图检查，分析学员因先心病而淘汰的情况，并参照美军招飞医学选拔标 准判定其是否合格。结果　2012—2015年先心病的淘汰率差异无统计学意义（ ＞0.05 ）；我军招飞体检中先心病的亚 P 型主要包括杂音超标、冠状动脉瘘和左心室假腱索。我军先心病不合格学员参照美军标准进行判定后，86.67%结果合 格。结论　我军和美军招飞医学选拔标准中关于先心病的相关内容具有较大差异，在修订我军标准时可以适当借鉴 美军标准。 [关键词] 飞行学员；医学选拔；体格检查；先天性心脏病；实证研究 [中图分类号] R851.3 ；R541.1　　　[文献标志码] A 　　 [文章编号] 2095-3402 （2016）02-077-04 An empirical study on medical selection of flying cadets with congenital heart diseases between PLAAF and USAF ZHU Di*, ZOU Zhikang, HUANG Congchun, ZHANG Haitao, XIAO Xiaoguang, WANG Jianchang, MA Zhongli. *Team of Aviation Physical Examination, Air Force General Hospital, Beijing 100142, China Corresponding author: WANG Jianchang, E-mail: kzdw66@ [Abstract] Objective　To determine whether the candidates who were disqualified for having congenital heart diseases in People s Liberation Army Air Force (PLAAF) medical selection of flying cadets were qualified or not according to United States Air Force (USAF) Medical Standards Directory, and to make suggestions on revising PLAAF medical selection standards of flying cadets. Methods　Ecocardiography was conducted on candidates participating in the final stage of medical selection of flying cadets who had cardiac murmurs by aulscultation from 2012 to 2015, and they were determined whether they were qualified or not according to both PLAAF medical selection standards and USAF Medical Standards Directory respectively. Results　There were no significant differences of disqualification rate concerning cong